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Clin Pediatr (Phila). 2016 Oct;55(12):1100-6. doi: 10.1177/0009922815614352. Epub 2015 Oct 27.

Electronic Health Record Mid-Parental Height Auto-Calculator for Growth Assessment in Primary Care.

Author information

1
The Children's Hospital of Philadelphia, Philadelphia, PA, USA University of Pennsylvania, Philadelphia, PA, USA.
2
The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
3
University of Pennsylvania, Philadelphia, PA, USA.
4
The Children's Hospital of Philadelphia, Philadelphia, PA, USA University of Pennsylvania, Philadelphia, PA, USA grimberg@email.chop.edu.

Abstract

Primary care providers are charged with distinguishing children with an underlying growth problem from those with healthy variant short stature. Knowing the heights of the biological parents aids in making that decision. This study sought to determine the feasibility and functionality of an electronic mid-parental height (MPH) auto-calculator in the clinical assessment of child growth in a pediatric primary care setting. Clinicians completed surveys for 62% of 6803 children (mean height 13 ± 7 percentile) with recorded parent heights. Collecting parent height data required <30 seconds in 91% of encounters. The MPH tool confirmed clinicians' initial growth assessment in 79% of cases and changed it in 4%; the remainder did not use the tool. Clinicians who changed assessment were more likely (P < .0001) to pursue more comprehensive evaluation. The MPH tool was a quick, functional resource as a component of an electronic health record system in actual, busy, pediatric primary care practices.

KEYWORDS:

clinical decision making; electronic medical records; endocrinology; general pediatrics; short stature

PMID:
26507248
PMCID:
PMC5576174
DOI:
10.1177/0009922815614352
[Indexed for MEDLINE]
Free PMC Article

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